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Orbital cellulitis and cavernous sinus thrombosis after cataract extraction and lens implantation
B O Kimbrough1, A B Young, L A Modica
1Division of Ophthalmology, Department of Veterans Affairs Hospital, Johnson City, Tennessee.
Annals of Ophthalmology
|August 1, 1992
Summary
Orbital cellulitis following eye surgery is rare. This case highlights a patient who developed orbital cellulitis and cavernous sinus thrombosis post-cataract surgery, likely due to sphenoid sinus disease.
Area of Science:
- Ophthalmology
- Otorhinolaryngology
Background:
- Orbital cellulitis is an uncommon complication of ophthalmic surgery.
- It is often secondary to adjacent sinus disease.
Observation:
- A patient presented with orbital cellulitis and cavernous sinus thrombosis three weeks after uncomplicated cataract extraction and lens implantation.
- Imaging revealed sphenoid sinus opacification, but no abscess was found.
Findings:
- The patient recovered fully with intravenous antibiotic treatment.
- Intraocular inflammation did not worsen, though intraocular pressure increased.
- Sphenoid sinus disease was identified as the most probable cause.
Implications:
- This case underscores the importance of considering sinus disease in post-ophthalmic surgery orbital infections.
- Prompt diagnosis and antibiotic treatment are crucial for favorable outcomes.